Mesh Versus Suture Repair for Umbilical Hernias

Summary

The purpose of the present study is to investigate whether or not the use of mesh is
indicated in the repair of all size umbilical hernias as to reduce the rate of recurrence.
This method is regularly used in umbilical hernia reconstruction although most surgeons
repair small hernias using suture repair (fascia adaptation). Especially risk factors for
hernia recurrence such as hernia size and BMI > 30 kg/m2 need to be evaluated and correlated
to the method of hernia repair.

Patients with rectus free flap harvest extending below the arcuate line are predisposed to postoperative hernia formation. As such, many authors have advocated the use of closure adjuncts to increase ...

Giant omphalocele is a rare, large abdominal wall defect in which the intra-abdominal organs herniate through the umbilical cord and are covered by a sac. Surgical management of giant omphalocele is c...

Laparoscopic repair of large hiatal hernias is associated with high recurrence rates. Erosion and mesh migration are rare but devastating complications of synthetic mesh repair, whereas reoperation is...

During breast reconstruction using the transverse rectus abdominis myocutaneous (TRAM) flap, the use of mesh for abdominal donor-site closure provides for a technology that potentially offers clinical...

Medical and Biotech [MESH] Definitions

Hernia, Umbilical

A HERNIA due to an imperfect closure or weakness of the umbilical ring. It appears as a skin-covered protrusion at the UMBILICUS during crying, coughing, or straining. The hernia generally consists of OMENTUM or SMALL INTESTINE. The vast majority of umbilical hernias are congenital but can be acquired due to severe abdominal distention.

Cerclage, Cervical

The surgical closure of the incompetent cervix uteri with suture material.

Beckwith-wiedemann Syndrome

A syndrome of multiple defects characterized primarily by umbilical hernia (HERNIA, UMBILICAL); MACROGLOSSIA; and GIGANTISM; and secondarily by visceromegaly; HYPOGLYCEMIA; and ear abnormalities.

Perceptual Closure

The tendency to perceive an incomplete pattern or object as complete or whole. This includes the Gestalt Law of Closure.

Orthodontic Space Closure

Therapeutic closure of spaces caused by the extraction of teeth, the congenital absence of teeth, or the excessive space between teeth.

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